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Re: BZD Improved Sleep Architecture w/SSRI Treatment? » fachad

Posted by Ritch on April 15, 2002, at 10:48:28

In reply to BZD Improved Sleep Architecture w/SSRI Treatment?, posted by fachad on April 14, 2002, at 19:57:47

> Quite a bit is made here of the fact that benzos disturb sleep architecture.
>
> Another less talked about item is that SSRIs wreck havoc on sleep architecture. This does not abate, but rather it continues for the duration of SSRI therapy.
>
> I'm wondering if the BZD disrupted sleep architecture is still better and closer to natural sleep architecture than the SSRI induced sleep disturbances.
>
> To me, it seems like there is a continuum from natural, perfect sleep to horrifically disrupted sleep, and that it goes something like this, from best to worse:
>
> 1. Natural sleep (best)
> 2. Benzo disturbed sleep (better than #3)
> 3. SSRI wrecked sleep + benzos (better than #4)
> 4. SSRI wrecked sleep (worst)
>
> Of course the only way to verify this would be to do a PSG sleep study, but it's how it seems subjectiely to me.


Fachad,

The sleep disruption with SSRI's can vary greatly depending on the SSRI used. From personal experience I found Zoloft to be the worst-primarily from restless legs syndrome during sleep. Prozac could do it pretty bad as well-but it has a long-half life. Haven't had much experience with Luvox, but Paxil seemed to not disturb my sleep and Celexa seems to not goof it up too bad.

Mitch


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